MEDICARE: ERIKA KAY FENDRYK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	357376	NY

General Provider Information

NPI Number	:	1942084678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA KAY FENDRYK

Provider Business Mailing Address
First Line	:	1020 VESTAL PKWY E
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1748
Country	:	US
Telephone Number	:	607-444-6868
Fax Number	:	607-444-8618

Provider Business Practice Location Address
First Line	:	1020 VESTAL PKWY E
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-1748
Country	:	US
Telephone Number	:	607-444-6868
Fax Number	:	607-444-8618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2023
Last Update Date	:	03/16/2026

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Directions to “ ERIKA KAY FENDRYK ” Practice Location

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